CURB-65 pneumonia severity score

Confusion (based upon a specific mental test or new disorientation to person, place, or time)

Urea (blood urea nitrogen in the United States) >7 mmol/L (20 mg/dL)

Respiratory rate ≥30 breaths/minute

Blood pressure (systolic <90 mmHg or diastolic <60 mmHg)

Age ≥65 years

1 point is assigned for each criterion that is met. UpToDate authors generally favor hospital admission for patients with a score of 1 or 2, although patients with a score of 1 due to being ≥65 years of age who do not have major comorbidities do not necessarily require admission. For patients with a score of 3 to 5, hospitalization is indicated, and the patient should be assessed for possible intensive care unit admission, especially if the score is 4 or 5.

References:

Lim WS, van der Eerden MM, Laing R, et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003; 58:377.
Lim WS, Baudouin SV, George RC, et al. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax 2009; 64 Suppl 3:iii1.
Qureshi KN, Hodkinson HM. Evaluation of a ten-question mental test in the institutionalized elderly. Age Ageing 1974; 3:152.

Graphic 105316 Version 2.0

خرید پکیج

CURB-65 pneumonia severity score